摘要
目的探讨前交叉韧带重建术后感染临床诊断及治疗,以期提高临床诊治水平及疗效。方法回顾性分析2011年1月-2013年4月68例前交叉韧带重建术后感染患者,调查临床表现、实验室检查和治疗效果等,总结其在临床诊断和治疗的情况,数据采用SPSS 13.0软件进行统计分析。结果前交叉韧带重建术后感染临床表现以体温升高33例占48.53%、膝关节肿痛65例占95.59%、髌上囊压痛阳性59例占86.77%为主;实验室检查C-反应蛋白>30mmol/L者47例占69.12%、红细胞沉降率>50mm/h者49例占72.06%、纤维蛋白原明显升高>20g/L者45例占66.18%;病原菌以表皮葡萄球菌最常见,共44株占60.27%;经过一系列保守或手术治疗后,膝关节活动度和稳定性均明显得到改善,关节镜复查正常率为89.71%。结论早期诊断前交叉韧带重建后感染,并及时行关节镜下清理术,抗菌药物治疗,辅以积极功能锻炼,可取得良好的临床效果。
OBJECTIVE To explore the clinical diagnosis and treatment of postoperative infections in the patients undergoing anterior cruciate ligament reconstruction surgery so as to improve the clinical diagnosis and treatment as well as the clinical efficacy .METHODS A total of 68 patients with postoperative infections who underwent the anterior cruciate ligament reconstruction surgery from Jan 2011 to Apr 2014 were retrospectively analyzed .The clinical manifestations ,laboratory examination ,and therapeutic effects were investigated ,the status of the clinical diagnosis and treatment was summarized ,and the statistical analysis was performed with the use of SPSS 13 .0 software .RESULTS Among the clinical manifestations of the patients with postoperative infections who underwent the anterior cruciate ligament reconstruction surgery ,33 （48 .53% ） cases had elevated body temperature ,65 （95 .59% ） cases had knee swelling and pain ,and 59 （86 .77% ） cases were positive for patella bursa tenderness . The laboratory examination showed that 47 （69 .12% ） cases were with the level of C‐reactive protein more than 30 mmol/L ,49 （72 .06% ） cases were with the erythrocyte sedimentation rate more than 50mm/h ,and 45 （66 .18% ） cases were with the elevated level of fibrinogen more than 20 g/L .Staphylococcus aureus was the most common species of pathogen ,accounting for 60 .27% （44 strains ） .Both activity and stability of knee joints were signifi‐cantly improved after a series of conservative or surgical treatments ,and the normal rate of arthroscopic review was 89 .71% .CONCLUSION It is an effective way to diagnose the postoperative infections in the patients undergo‐ing anterior cruciate ligament reconstruction surgery in early stage ,conduct the arthroscopic debridement in a timely manner ,carry out the drug therapy ,and supplement with active functional practice so as to achieve good clinical effect .
出处
《中华医院感染学杂志》
CAS
CSCD
北大核心
2015年第15期3534-3536,共3页
Chinese Journal of Nosocomiology
基金
湖北省卫生厅规划基金资助项目(HW-2012B-030)
关键词
前交叉韧带重建术
感染
临床诊治
Anterior cruciate ligament reconstruction surgery
Infection
Clinical diagnosis and treatment
